Affidavit of Federal Employment by fxf13573

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									                                        NON-EMPLOYMENT AFFIDAVIT

TENANT/APPLICANT:                                                                                  DATE:
PROPERTY NAME:




PLEASE SELECT ONE OF THE FOLLOWING BOXES:

I am not currently employed in any capacity, however…
       I DO intend to become employed within the next twelve (12) months. I anticipate my earnings based on prior
       employment and career training for the next twelve months to be:
                      JOB TYPE                      HOURLY WAGE         HOURS PER WEEK


This estimate is supported by one of the following documents:
Previous year’s tax return
Previous job/salary history
Other supporting documents:___________________________________


         I HAVE BEEN OFFERED/PROMISED a job to start within the next twelve (12) months.
           START DATE            JOB TYPE                       HOURLY WAGE         HOURS PER WEEK



I am not currently employed in any capacity, and…
       I DO NOT intend to become employed within the next twelve (12) months. I do not receive unemployment
       compensation, or other benefits as a result of my non-employed status, nor am I under any obligation to obtain
       employment.


         I DO NOT intend to become employed within the next twelve (12) months because I am currently under doctor’s
         care and unable to obtain employment.

         Please state how you intend to meet daily expenses without any anticipated employment income source:



I hereby certify that the information provided is true and complete to the best of my knowledge.

SIGNATURE OF APPLICANT/TENANT                                                                               DATE



NOTARY OPTION
Sworn to before me and subscribed in my presence this ______ day of _______, 20___.

SIGNATURE OF NOTARY PUBLIC                                                         NAME
My commission expires:___________________


WARNING: Section 1001 of Title 18 U.S. Code makes it a criminal offense to willfully falsify a material fact or make a false statement in
any matter within the jurisdiction of a federal agency.


                                       NON-EMPLOYMENT AFFIDAVIT                                                                    I4

								
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